(1)(a) An insurer filing an individual accident and health insurance filing shall comply with:
(i) Title 31A, Chapter 22, Part 6, Accident and Health Insurance;
- (ii) Rule R590-85;
- (iii) Rule R590-122;
- (iv) Rule R590-126;
- (v) Rule R590-131;
- (vi) Rule R590-192;
- (vii) Rule R590-203;
- (viii) Rule R590-215; and
- (ix) Rule R590-286.
(b) An insurer filing a health benefit plan filing shall comply with:
- (i) Title 31A, Chapter 30, Individual, Small Employer, and Group Health Insurance Act;
- (ii) Title 31A, Chapter 45, Managed Care Organizations;
- (iii) Rule R590-167;
- (iv) Rule R590-176;
- (v) Rule R590-194;
- (vi) Rule R590-200;
- (vii) Rule R590-233;
- (viii) Rule R590-237;
- (ix) Rule R590-247;
- (x) Rule R590-259;
- (xi) Rule R590-261;
- (xii) Rule R590-266;
- (xiii) Rule R590-269;
- (xiv) Rule R590-271;
- (xv) Rule R590-277; and
- (xvi) Rule R590-283.
(2) Rate Filings.
- (a) A rate filing submitted with a new form filing is a file and use filing.
- (b) A rate revision filing is a file for acceptance filing.
(c)(i) An individual accident and health insurance policy, rider, or endorsement affecting a benefit shall be accompanied by a rate filing with an actuarial memorandum signed by a qualified actuary.
- (ii) A rate filing is not required if the form filing does not impact the premium, however the filing description shall explain the reason there is not a change in the premium.
(3) A long-term care insurance filing, including an endorsement or rider attached to a life insurance policy, shall comply with:
- (a) Title 31A, Chapter 22, Part 14, Long-Term Care Insurance Standards;
- (b) Rule R590-148; and
- (c) Sections R590-220-12, R590-220-13, and R590-220-15.
(4) A limited long-term care insurance filing shall comply with:
- (a) Title 31A, Chapter 22, Part 20, Limited Long-Term Care Insurance Act;
- (b) Rule R590-285; and
- (c) Sections R590-220-12, R590-220-14, and R590-220-15.
(5) A Medicare supplement filing shall comply with:
- (a) Section 31A-22-620;
- (b) Rule R590-85;
- (c) Rule R590-146; and
- (d) Sections R590-220-11 and R590-220-15.
KEY: health insurance filings
Date of Last Change: July 21, 2023
Notice of Continuation: February 7, 2024
Authorizing, and Implemented or Interpreted Law: 31A-2-201; 31A-2-201.1; 31A-2-202; 31A-22-605; 31A-22-620; 31A-30-106